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HomeMy WebLinkAbout14-137Authorization Number 7 (Office Use Only) i jo Vf f Department Monday mm 1. Name 2. Mailing Address—k3,6....� i(� 3. Telephone: t-lorne JLq qe12 Other: 4. Prior experience in transportation of passengers: 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? tff> . ytpe of offeirnse Where When .......w. . ....................... ._...... ._......... ..............................................................................................l!, .1:mf 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? 7. Have you been convicted of any traffic offenses in the last five years? Dmg of offense Where When Ia., .. ................................................m._._......... f n_(�.ft h.. ...._).f.a............................... _..2!Ei_r�..__._..._.......................................... 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? MM 9. Have you ever applied to bean Iowa City taxi driver using a different name? If yes, please provide the name(s) + 41 JIMAJA&I 0 VIN I I U 4 W-Ak 0 [OIL, 1291- .+ 03/2014 I hereby certify tha�t d�I� �have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number "a a7rl W r24 Z . I understand that if I falsely answer any questions in this application, that this application may be denied. I understand that if I falsely answer any of the questions in this application, that this application will be denied. I agree that in making this application, I consent to allow agents or employees of the City of Iowa City, Iowa, in their discretion, to examine any and all records and documents relating to this application, and I further agree that, if a license is granted, to comply at all times with all of the provisions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant ... "....,,,,, .e, ..1?!!,!il.........,,...,.,, Date" s YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at icgov.org. STATE OF IOWA ) COUNTY OF JOHNSON ) 2(164 ore me b r ... '` 0 tQ � OjO -lW t° On this day of Su cn a an d sw n to of y ota Fublic in �. ...r,Ct LLIL K. TUTiLE F"+..<;^�-,C�Mflr /,,. ti.4..E Luinms,si, n hlurnber221®1& ry and for the State of Iowa .....***************##*##ikk*****%*%#*********#**k*#*********************#*#***%*********#*#** I have reviewed this application, DCI report, and the State certified driving record of this applicant and have deter- mined that there is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of residents of the City of Iowa City (Title 5, Chapter 2, City Code). Sign e of Pore hief or designee Date YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at icgov.org. Signature of City Cleric or designee ... Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8'/z' (width) and 5'/z" (height) and prominently displayed to all passengers. Office Use Only Approved application DCI report State certified driving record Website update verk1 m idr1vbadgeepp2014.doc 03/2014 'e"a '%1, DOT WWII �� 'It3 miiadog SMARTER wM m ,R p M5STONqttM�@IVIev o 1 Mks PO Hay S'I1/0d „ Des WAG* tni 50306"J204 14snH ..9:x..-214 P124 tM 53,,1-1 VIIlf,w CWu21,1B37 CrewW Wfaft.flum Inquiry DateN 5/1312014 Nameg Trimbell, Nicholas Scott r dre DODGE Duty/State: IOWA CITY, IA 522404636 Mailing Address: 636 S DODGE ST APT 6 (Mailing City/Stator IOWA CITY, IA 522404836 Convictions Certiffied Abstract of IDw•iro ing Record DL/ID M 700YY9754 (IA} Customer d: 377:1.60 Class: D IID ,Status: None Audit u 5200022 IDI. Statuunr VAL Issue Date: 05/04/2011 CD1 Status: None Expiration Datau 07/13/2016 CDIL Cart Statues: None Endovsemeatm 3 CDIL Med.Matum None Restrictions: NONE Iftestructlonn None Date of Slrthu 7/13/1978 Supplement. - Sam M Mn,ta Co uu lcv"tllon Date .dICID IL�ne7aurauntatloun Carnant^y „JR% . ... _ ..., M.. _ _.... ,,., , . .. ., w...__�__ /l9'a/7PA04 A70 fDl ssct .. 'MYk.H.——1-1lle,1- ... ...— -` ,� — �......... .. ata.al..,. ...._... .... ............ VWOuc& Ihfara4 :uA 'A2 ,�I1.2/Il �l1'2CIIL2 jPfi llh4 FaC111tr1011a:Y lu'aTCfPc Ifµpu' S110m6aV ,Johnsoan JA OI,Dero" nD While 'Y"ntoodcaftfd Tast Refusal/'rest Failure Viollatimis occuullrrnrsmmce AAM Cu.:iwlunuwticc f;miUR O'a,i760/;,p136 vr'eCaV � tksN11 tlrslC 11 uulliluua^ ttc "rype ff?,a.Pl iso II15r�14 ACD !; xP� anstlan n;7ccamcmCe "q"II2, ;I&Ja„ Ilievollied 1C,",xf2012003 „I'7V11612003 ;,1490 e?M'tl est FaHwe IIIA Illmt...... Name: Trlmbell, Nicholas Scott DL/ID: 700YY9754 =n of jHj e,r ,u.♦ -w 1 r r r w ':�r rt A '.+ 4 e e� ♦ !�. ,: it ♦ e r ® "° 5/13/2014 Office of Driver Services Iowa Department of Transportation Nameu Trlmbell, Nicholas Scott DL/ID; 700YY9754 111 11 Jun:17. 2014 12:42PM Div of Criminal Investigation No. 2712 P. 1 III III VY11. IV. LV 1'T Gil/I 111 V1 LJ VIGI II VIIJ VI luwd lily Nu.RV(( P, IIII IIII Illl�llllxi Twlovrm1XV151011of�s°uaxiCm�C.puu�exCGSakCeCg soppaYt dttaxtloat :draw°o��rc.�.�"xi flmox 21S .R. 7,49ked , Ofm xWomo, Nowa 50.319 (9.19) 726-6066 (515) -66ECV :FRF 'WrAccountNmuber..YOW�- E-, Of0pplf0blo) City CNemk'� Offlee 410A W2sft6m m Sftpef Mo. .- N..Altryb----.:lA6. — m..m..m..m..m..®.�_..v....m..m..--.r tlhoanw 319.356°5061 Fan 319.356-6447 - a ntlChecklResultsmCgUS®anry) As of B_ �,�- ✓� a saa¢ h of fhe, provl&d nme and date of bhth xo v®af ed,, .1 to No lovm rzixatenal UaeRaxy Record ..$ovtxdwashDC:1 lova C: 3 & :aistog ',Y:& =0.Ed at taded, D01 �4 M (ff Received Time_Jun.16._2014_ 2.54 Jun® 11. 2014 12:42PM Div of Criminal Investigation IOWA CRIMINAL HISTORY DC:I 00620519 F14LONY CONVICTION PAGE 1 OF 4 DATE PRINTED- DCI:006205I5 2014/06/17 NAME: TRINBELL,NICHOLAS SCOTT DOE $RI. RAC HGT NET EYE HAIR Sim POB 19700713 M w 509 170 BRO ERO FAR YA. ADDITIONAL IDENTIFIERS TAT BACK TAT R LZO TAT UL ARM C01 RECORD *** 01 ARRESTMD 20000512 AGENCY: XA0070100 CHDAR P"BhIrLS PD CHARGE NO- 01 IA STATUTE 'IA123-47(1) PROVIDING ALCOHOL TO MINOR TRK#: 600115601 COURT DISPOSITION AGENCY: IA007015J RLA.CK, HAWK CO I)I'.ST COURT COUNT NO- 01 1A xpA':G"CPgR" :IA123.141-1 PROVIDING ALCOHOL TO MINORS CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 600115601 SENTENCE FINE $250 PRONATI :%.Y SUSPENDED 60D 02 ARRESTED 20020723 AGENCY: IA0070100 CIDAP PALLS PD CHARGE NO- 01 1A STATUTE IA224-401-5 PUSS MARIJUANA TRK#a 600841401 CHARGE NO- 02 IA STATUTE IA714-2-4 THHFT 4TH TRK#: 600841402 COURT DISPOSITION AGENCYx ZA007015a BLACK HAWK CO DIST COURT COUNT NO- 01 IA STATUTE IA124.. 414 POSSESSION OF DRUG PARAPHERNALIA COURT CASE ID® 01071 SRCR107637 C OR.CLASS: MISDEMEANOR CONVICTION TRK#: 600841401 RESTITUTxON SENTENCE FINE $50 COURT DISPOSITION AGENCY: IA007015J BLACK HAWK CO DIST COURT COUNT NO- 02 IA STATUTE :IA71,4., 2(4) TCHiw.I+'T 4TH W; EGREN .,. 1970 DISP EFP DAT 20000912 20000912 20000912 DD:ISP EPF DAT 20021018 No, 2112 P. 2 J,un,17. 2014 12:42PM Div of Criminal Invest gation 7'C1. 00620515 9azh7.CE 2 OF 4 COURT CASE ID: 01071 SRC.R107637 CHARGE CLASS; MISDEMEANOR CONVICTION TRK#: 600841402 RESTITUTION SENTENCE DISP EFF DAT SUSPENDED JAIL 30D 20021010 FINE $250 20021018 PROBATION 2Y 20021018 0.3 ARRESTED 20030/308 AGENCY: IA0070000 BLACK RANK CO SO CHARGE NO- 01 IA STATUTE IA:421,6-2 OWI IST OFF 6E TRK#: 601141201 COURT DI'SPOS;IIT.ION AGENCY:, IA00'701.5J ELACK HAWK CO DIST COURT COUNT NO- 01 IA STATUTE IA321,7,2(A) OPER VMH WIT INT (OWI) f IST OFF COURT CASE ID: 01071 OWCRI14032 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#w 601141201 DRUNK DRIVING SCHOOL LICENSE REVOKED SUBSTANCE ABUSE EVALUATION :RESTITUTION SENTENCE DISP EFF DAT TIME SERVED SD 20040106 SUSPENDED u1A,: lig 115D 20040106 JAIL 1201) 20040106 FINE $1000 20040106 PROBATION 2Y 20040106 7 ,.. s .iii'.. AGENCY: IA0070100 CEDAR FALLS PD CHARGE NO® 01 ICA STA..CUTE" LA124.401(5) (M) POSSESSION OF NARIJUANA TRK#: 601629101 C0URT DISPOSITION AGENCY; IA007015S BLACK HAWK CO DIST COURT COUNT NO- 01 IA STATUTE IA124,401(3)- 2 POSSESSION CONTROLLED MSTAXCR, MARIMANA COURT CASE ID; 01071 SR 124512 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 601629101 LICENSE REVOKED SUBSTANCE ABUSE EVALUATI.oN No. 2712 P. 3 Jun,17, 2014 12:43PM Div of Criminal Invest gat,ion DCI 00620515 PAGE 3 OF 4 SENTENCE DISP PERR' DAT COMMUNITY CORRECTIONS 20050110 SUSPENDED 0AT.1, 60D 20050110 FINE $250 20050110 PROBATION 2Y 20050110 IMPOSED PROBATION -20061207 REVOKED PRISON 20061207 TIME SERVED 60D 20070529 COURT DISPOSITION AGENCYr ZA007015J SLACK HAWK CO DIST COURT COUNT NO- 01 IA STATUTE IA714.2(5) THEFT STH DEGREE - 1978 COURT CASE ID: 01071 SMCR124519 CHARGE CLASS: MISDEM RAWOR CONVICTION TRK4 601629102 SENTENCE DISP SVP DAT FINE $50 20050110 f :.l ,,! e.1,., AGENCY: ZA0070300 WATERLOO PD CHARGE NO- 01 IA STATUTE IA713.6(A) BURGLARY 3RD DEGREE TRK#i 602417201 COURT DISPOSITION AGENCY: IA007015J BLACK HAWK GO DIST COURT COUNT NO- 01 IA STATUTE IA713.6A(1) BURGLARY 3RD DEGREE COURT CASE ID: 01071 FEC9190893. CHARGE CLASS: FELONY CONVICTION TRK#: 602417201 RESTITUTION' SENTENCE DISP EPP DAT COMMUNITY CORRECTIONS 20061113 FINE $750 20061113 SUSPENDED PINE $750 20061113 SUSPENDED PRISON 5Y 20061113 PROBATION 5Y 20061113 PRISON SY 20061113 AN ARREST WITHOUT DISPOSITION �T.9 NOT AN INDICATION OF GUILTTHIS RECORD MAINTAINED BY IBM XOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIFICATION 19 A PUBLIC RECORD BUT CAN ONLY HE RELEASED TO NOR -LAW ENFORCEMENT D IN THE ABSENCE OF IDENTIFICATION RECORD IS BASED 014 INFORMATIONFURNISHED. WE CANNOTCONFIRM ♦Ri ,COVERS THE SUBUECT OF YOUR INQUIRY, Na, 2112 P. 4 Jun.17. 2014 12:43PM Div of Criminal Invest gat on k2712 P. 5 DIVISION OF CRIMINAL INVESTXQATION I